Last updated: 5/24/2021
Motion For Leave To Appear Pro Hac Vice
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Description
Revised July 2012 United States District Court for Western District of Tennessee MOTION FOR LEAVE TO APPEAR PRO HAC VICE Case Title Plaintiff Defendant Case Number Judge I, _______________________________________________________ hereby apply to the United States District Court for the Western District of Tennessee, pursuant to Local Rule 83.4(d), for permission to appear and participate in the above-entitled action on behalf of __________________________________________________ by whom I have been retained. I am a member of good standing and eligible to practice before the following courts: Title of Court Date Admitted I certify that I subject myself to the jurisdiction of the United States District Court for the Western District of Tennessee and have obtained and have familiarized myself with and agree to be bound by the Western District of Tennessee Local Rules, Tennessee Supreme Court Rule 8 (Rules of Professional Conduct) and the Guidelines of Professional Courtesy and Conduct. Please find attached a certificate of good standing from the highest Court of a state or the District of Columbia, and from a United States District Court. A proposed order, in word processing format, granting this Motion will be emailed to the ECF mailbox of the presiding judge. The pro hac vice admission fee is $100.00 that shall be paid to the Clerk of Court through the Court's Electronic Case Filing System 's pay.gov feature. Page -1- American LegalNet, Inc. www.FormsWorkFlow.com I hereby certify that the information provided below is true and accurate: Applicant's Last Name First Name Middle Name/Initial Applicant's Firm Name Applicant's Address Room/Suite Number City Applicant's Email Address State Zip Code Applicant's Phone Number(s) Certificate of Service I hereby certify that a true and correct copy of the foregoing pleading has been served via the Court's Electronic Case Filing system to the following: Certificate of Consultation Date Electronic Signature of Applicant S/ Page -2- American LegalNet, Inc. www.FormsWorkFlow.com
